Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $87.10	Professional		$39.81	$56.23	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $134.90	Facility		$128.82	$128.82	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Professional		$56.23	$56.23	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $109.65	Facility		$57.54	$72.44	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $83.18	Professional		$46.77	$52.48	$83.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $223.87	Professional		$70.79	$128.82	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $128.82	Professional		$93.33	$125.89	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $46.77 / $63.10	Facility		$35.48	$46.77	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $114.82	Professional		$36.31	$67.61	$114.82